Simplified bronchiolitis severity score for health care providers
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Date
2019-05
Authors
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Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Bronchiolitis is a viral lower respiratory infection of young infants. It requires monitoring by outpatient health care providers and rarely needs hospitalization. Scoring of severity in community helps in early referral. A simplified bronchiolitis scoring for rural health care providers with no facility for measurement of oxygen saturation (SpO2) and chest X-ray (CXR) is a long-felt need. This study proposes a simplified score.Methods: The proposed bronchiolitis severity score (PSS) has to be validated against the standard bronchiolitis severity score (SSS). The PSS was administered by a physician, nurse and researcher. The reliability was measured by the comportment of internal consistency and inter-observer agreement.Results: The physicians rating of severity by SSS and PSS was similar in 97% of cases. The internal consistency of 0.72 and the kappa index of 0.86 were obtained. The inter-rater agreements between physician, nurse, researcher was 0.94, 0.94 and 0.93 respectively.Conclusions: The PSS is reliable, valid and can be administered by nurses in peripheral health care settings.
Description
Keywords
Bronchiolitis, Health care providers, Respiratory infection, Severity score
Citation
Rudhan Rachel P., Biswal Niranjan. Simplified bronchiolitis severity score for health care providers. International Journal of Contemporary Pediatrics. 2019 May; 6(3): 1259-1262